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Presentation and Management of Self-Inflicted Gunshot Wounds to the Face. 面部自残枪伤的表现和处理。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801409
Rebecca Gardella, Alyssa D Reese, Jhobani Torres-Gomez, Phavon Sage, Rena Atayeva, Kerry P Latham, Richard Tyrell
{"title":"Presentation and Management of Self-Inflicted Gunshot Wounds to the Face.","authors":"Rebecca Gardella, Alyssa D Reese, Jhobani Torres-Gomez, Phavon Sage, Rena Atayeva, Kerry P Latham, Richard Tyrell","doi":"10.1055/s-0044-1801409","DOIUrl":"10.1055/s-0044-1801409","url":null,"abstract":"<p><p>Self-inflicted gunshot wounds (SI-GSW) to the head and face are associated with significant morbidity and mortality. Patients who do survive their injuries often face life-altering disfigurement and disability. To effectively care for these patients, providers must not only detect and address the immediate life-threatening injuries, but also plan for long-term definitive reconstruction. This review provides an overview of presentation and management of SI-GSW to the face, including initial stabilization and workup, assembly of a multidisciplinary care team, surgical reconstruction of soft tissue and bony defects, and long-term management to address aesthetic and functional goals. Emphasis is placed on the role of plastic and reconstructive surgeons in SI-GSW reconstruction; however, a better understanding of these complex injuries and their management can help all health care providers better optimize care for this high-risk population.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"19-27"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combat Ballistic Injuries to the Face. 脸部的弹道伤害。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801407
Grace C Baisden, Lawson E Spence, Jonathan N Perkins, Kerry P Latham
{"title":"Combat Ballistic Injuries to the Face.","authors":"Grace C Baisden, Lawson E Spence, Jonathan N Perkins, Kerry P Latham","doi":"10.1055/s-0044-1801407","DOIUrl":"10.1055/s-0044-1801407","url":null,"abstract":"<p><p>Combat ballistic injuries to the face present complex challenges for military medical personnel, often involving multiple traumas that require immediate intervention to preserve life and function. This review explores the mechanisms of ballistic trauma, highlighting the unique injury patterns seen in modern conflicts like those in Iraq, Afghanistan, Syria, and Ukraine. Advances in protective gear have altered injury profiles, increasing the incidence of head, neck, and facial injuries. Early evacuation and definitive care are critical, though prolonged field care settings may require adapted surgical techniques due to resource constraints. The goals of surgical management focus on restoring form and function, with treatment strategies influenced by the severity of injuries and available medical resources. This article also discusses the long-term complications, such as infections, nerve injuries, and posttraumatic stress disorder, emphasizing the need for a multidisciplinary approach. The evolving nature of combat injuries underscores the importance of continuous surgical innovation and timely intervention to improve outcomes for soldiers suffering from ballistic facial trauma.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"8-13"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Colonel (ret) Kerry P. Latham, MD, USAF. 上校（退役）克里P.莱瑟姆，医学博士，美国空军。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0045-1801874
Edward P Buchanan
{"title":"Colonel (ret) Kerry P. Latham, MD, USAF.","authors":"Edward P Buchanan","doi":"10.1055/s-0045-1801874","DOIUrl":"https://doi.org/10.1055/s-0045-1801874","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"1"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Planning of Ballistic Facial Injuries. 面部弹道伤的手术计划。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0045-1801880
Vamsi C Mohan, Winston R Owens, Diego Quirarte, Linden Shih, Daniel A Hammer, Matthew J Parham, Kerry P Latham
{"title":"Surgical Planning of Ballistic Facial Injuries.","authors":"Vamsi C Mohan, Winston R Owens, Diego Quirarte, Linden Shih, Daniel A Hammer, Matthew J Parham, Kerry P Latham","doi":"10.1055/s-0045-1801880","DOIUrl":"10.1055/s-0045-1801880","url":null,"abstract":"<p><p>Ballistic facial injuries often cause widespread damage, distorting the native anatomy. Apart from initial resuscitative measures, these injuries require extensive employment of reconstructive techniques to restore the patient's form and function. As such, thoughtful data acquisition from both physical exam and radiographic studies optimizes surgical planning to achieve optimal patient outcomes. Specifically, virtual surgical planning has been shown to decrease intraoperative times and achieve enhanced functional and aesthetic outcomes when compared to traditional methods. The purpose of this chapter is to review surgical planning in the context of ballistic facial injuries, with a specific focus on virtual surgical planning.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"43-48"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring for Patients with Ballistic Injuries to the Face. 照顾面部受弹道伤害的病人。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0045-1801871
Kerry P Latham
{"title":"Caring for Patients with Ballistic Injuries to the Face.","authors":"Kerry P Latham","doi":"10.1055/s-0045-1801871","DOIUrl":"https://doi.org/10.1055/s-0045-1801871","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"2"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mass Casualties, Shootings, and the Role of the Craniomaxillofacial Surgeon. 大规模伤亡、枪击和颅颌面外科医生的角色。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801408
Vamsi C Mohan, Srinithya R Gillipelli, Josephine L Schmidt, John D Bovill, Kerry P Latham
{"title":"Mass Casualties, Shootings, and the Role of the Craniomaxillofacial Surgeon.","authors":"Vamsi C Mohan, Srinithya R Gillipelli, Josephine L Schmidt, John D Bovill, Kerry P Latham","doi":"10.1055/s-0044-1801408","DOIUrl":"10.1055/s-0044-1801408","url":null,"abstract":"<p><p>Mass casualty incidents (MCIs) can transpire through a multitude of mechanisms, the most common of which are mass shootings. These events result in several injuries and/or deaths and often strain or overwhelm available medical resources. Since the injuries that result from these incidents vary in type and severity, effective identification and triage is needed. Bystanders, first responders, ancillary medical staff, nurses, and physicians are integral in managing the victims, and efficient communication is required to provide timely and adequate medical care. From soft tissue injury and burns to facial trauma, the craniomaxillofacial surgeon is a crucial member of the team and their expertise is vital in triaging and in treating the injured. This review discusses triage, patterns of injury, and the role of craniomaxillofacial surgeons in MCIs.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"14-18"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Craniofacial Ballistic Injuries. 儿科颅面弹道损伤。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801736
Lindsey Teal, Craig B Birgfeld, Srinivas M Susarla
{"title":"Pediatric Craniofacial Ballistic Injuries.","authors":"Lindsey Teal, Craig B Birgfeld, Srinivas M Susarla","doi":"10.1055/s-0044-1801736","DOIUrl":"10.1055/s-0044-1801736","url":null,"abstract":"<p><p>Pediatric ballistic injuries are a public health crisis in the United States. Younger children are more likely to sustain craniofacial injuries, which are associated with higher mortality rates. An understanding of the timeline of craniofacial development and the variation in pediatric facial proportions over time is important to guide further treatment of these patients. Management of these patients includes initial stabilization according to the Advanced Trauma Life Support protocol followed by management of time-sensitive injuries. Ballistic injuries often result in soft tissue and bone defects, requiring fixation and coverage. As children experience faster rates of bone healing, fixation should be done promptly. Soft tissue coverage is dependent on the size of the defect; whereas smaller wounds can be closed with primary closure or local tissue rearrangement, larger wounds may require free tissue transfer.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"28-36"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction to Ballistic Injuries. 弹道伤害概论。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801406
Winston R Owens, Vamsi C Mohan, Diego M Quirarte, Samuel H Cole, Kerry P Latham
{"title":"Introduction to Ballistic Injuries.","authors":"Winston R Owens, Vamsi C Mohan, Diego M Quirarte, Samuel H Cole, Kerry P Latham","doi":"10.1055/s-0044-1801406","DOIUrl":"10.1055/s-0044-1801406","url":null,"abstract":"<p><p>Firearm-related trauma in the United States is a public health crisis with increasing rates of gun-mortality annually. Within the United States, minorities are disproportionally affected by firearms, and nonmedical factors play a significant role in predicting an individual's risk for experiencing gun trauma. Devastating injuries associated with head gunshot wounds often require care from multidisciplinary teams to achieve favorable outcomes. Despite collaborative care, complications after firearm injuries transcend beyond physical damage and result in lasting psychological, social, and economic burdens. This article reviews ballistic terminology, epidemiology, social determinants of health, and the quality of life of gunshot wound survivors.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"3-7"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Approach to Cranioorbital Gunshot Wounds. 颅眶枪伤的入路。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0044-1801737
Winston R Owens, Anna J Skochdopole, Srinithya R Gillipelli, Sarah A Layon, Kerry P Latham
{"title":"The Approach to Cranioorbital Gunshot Wounds.","authors":"Winston R Owens, Anna J Skochdopole, Srinithya R Gillipelli, Sarah A Layon, Kerry P Latham","doi":"10.1055/s-0044-1801737","DOIUrl":"10.1055/s-0044-1801737","url":null,"abstract":"<p><p>Gunshot wounds to the head result in significant morbidity with a low rate of survival. Current treatment recommendations for penetrating traumatic brain injury (pTBI), established in 2001, are based off techniques used in recent Middle Eastern conflicts. However, many advancements in care have been made and updates in official pTBI treatment guidelines are being formulated. While some penetrating brain injury patients are managed nonoperatively due to poor prognosis, many undergo emergent interventions and delayed reconstruction by various surgical subspecialists. This article explores the management of pTBI and the collaborative roles of neurosurgeons, ophthalmologists, and plastic surgeons.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"37-42"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Avulsive Soft Tissue Ballistic Facial Injuries. 撕脱性软组织弹道面部损伤的处理。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2025-03-26 eCollection Date: 2025-02-01 DOI: 10.1055/s-0045-1801876
Yang Ding, Winston R Owens, Diego M Quirarte, Olivia G Leonovicz, Kerry P Latham
{"title":"Management of Avulsive Soft Tissue Ballistic Facial Injuries.","authors":"Yang Ding, Winston R Owens, Diego M Quirarte, Olivia G Leonovicz, Kerry P Latham","doi":"10.1055/s-0045-1801876","DOIUrl":"10.1055/s-0045-1801876","url":null,"abstract":"<p><p>Ballistic facial injuries are rare yet challenging cases for plastic surgeons that often comprise of avulsive tissue loss. They require in-depth assessment and staged reconstruction after patient stabilization. Each anatomic region of the face holds specific considerations that should be prioritized during reconstruction. Soft tissue repair techniques of facial gunshot wounds are widely variable and range from primary closure to multistage free flaps. Large, devastating facial defects after ballistic trauma previously posed significant challenges for reconstruction; however, advances in composite tissue transplant and allografts have expanded plastic surgeons' reconstructive arsenals. The goal of this review is to focus on the fundamentals of soft tissue management and reconstruction after ballistic facial injury. Through sound surgical principles, patients may achieve optimal aesthetic and functional outcomes despite experiencing highly morbid facial ballistic injuries.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"39 1","pages":"49-56"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11945220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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